Clubhouse Model — MRCPsych Paper B MCQ
Instant feedback + full explanation. One question, done properly.
Educational content. Not a substitute for clinical judgement or local policy.
Reveal the answer and explanation
Correct answer: E — Members and staff jointly operate the programme through a work-ordered day, with opportunities for employment and social participation
Explanation lettering: E = shown as A · D = shown as B · A = shown as D · B = shown as E
The correct answer is B. The Clubhouse model is a non-medical, recovery-oriented form of psychosocial rehabilitation in which members and staff work alongside one another to operate the Clubhouse. The work-ordered day provides meaningful roles and structure, while employment and social opportunities promote community participation and empowerment. It is therefore not a professionally directed treatment programme (A) or a clinician-centred medical model (D). A token economy (C) uses contingent reinforcement of specified behaviours and is conceptually distinct. Sheltered workshops (E) provide segregated vocational activity, whereas Clubhouses aim to support participation in ordinary community life and offer pathways towards mainstream employment.
Reference: Bouvet C, Battin C, Le Roy-Hatala C. The Clubhouse model for people with severe mental illnesses: literature review and French experiment. L'Encéphale. 2015;41(6):477–486. https://www.england.nhs.uk/long-read/commissioner-guidance-adult-community-mental-health-rehabilitation-services/